State of New Hampshire APPLICATION FOR AMENDED CERTIFICATE OF REGISTRATION OF A FOREIGN NONPROFIT CORPORATION NOTES FOR COMPLETING Form FNP-3 (RSA 292:5-b & RSA 293-A:15.04) Notes: 1. Exact corporate name of corporation making the application. 2. Signature and title of person signing for the corporation. Must be signed by chairman of the board of directors, president or another officer; or see RSA 293-A:1.20(f) for alternative signatures. 3. An ORIGINAL certificate of legal existence or good standing must accompany this application. (Photocopies or fax copies will not be accepted.) The certificate must be duly authenticated within 60 days of the filing of this application by the proper officer of the state or country under the laws of which the corporation was organized or from the new state of incorporation if the state or country of incorporation has been changed. (A certificate of good standing regarding taxes from a state department of revenue administration is not acceptable.) Mail fee, DATED AND SIGNED ORIGINAL WITH A CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989. American LegalNet, Inc. www.FormsWorkFlow.com Form FNP-3 Instruct State of New Hampshire Filing fee: $25.00 Use black print or type. Form FNP-3 RSA 292:5-b & RSA 293-A:15.04 APPLICATION FOR AMENDED CERTIFICATE OF REGISTRATION OF A FOREIGN NONPROFIT CORPORATION PURSUANT TO THE PROVISIONS OF SECTION 5-b OF VOLUNTARY CORPORATIONS AND ASSOCIATIONS AND SECTION 15.04 OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT, THE UNDERSIGNED CORPORATION HEREBY APPLIES FOR AN AMENDED CERTIFICATE OF REGISTRATION IN NEW HAMPSHIRE AND FOR THAT PURPOSE SUBMITS THE FOLLOWING STATEMENT: FIRST: The name of the corporation is . SECOND: The name the corporation is currently using in the state of New Hampshire is . THIRD: The state or country of incorporation is . FOURTH: The date the corporation was authorized to transact business in the state of New Hampshire is . FIFTH: This application is filed for the following reason (complete all applicable items): a. The corporation has changed its corporate name to . b. The name the corporation will hereafter use in the state of New Hampshire is changed to . c. The corporation has changed its period of duration to . d. The corporation has changed the state or country of its incorporation to . (Note 1) (Corporate Name) (Note 2) (Signature) (Print or type name) (Note 2) (Title) Date signed: DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee, DATED AND SIGNED ORIGINAL WITH A CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989. American LegalNet, Inc. www.FormsWorkFlow.com Form FNP-3 (3/2009)